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To describe the prevalence of obesity in Mexican adults stratifying by physical and sociodemographic conditions and to analyze trends. The data of 16 256 adults who participated in Ensanut 2018-19 was analyzed. Obesity (WHO), abdominal adiposity (IFD) and short stature (NOM-008-SSA3-2017) were classified. Logistic regression models were performed to analyze the association between obesity and risk factors. ENSA-2000 and Ensanut (2006, 2012, 2018-19) were used to assess trends. The prevalence of overweight was 39.1%, obesity 36.1%, and ab